[Degloving injuries of the soft tissues of the heel. An indication for microvascular revascularization!]. 1994

P Graf, and E Biemer
Abteilung für Plastische und Wiederherstellungschirurgie, Technischen Universität, Klinikum rechts der Isar, München.

The sole of the foot has a unique soft tissue structure which allows weightbearing. There is no adequate reconstructive method for soft tissue defects of the weightbearing sole. Soft tissue reconstructions in this area frequently develop stress lesions. After degloving injuries of the heel, the unique vascularisation of the sole may lead to ischemia and consecutive soft tissue necrosis. Revascularisation of degloved heel pads e.g. by reconstruction of the medial calcaneal branch of the posterior tibial artery is recommended as a salvage procedure. In the primary treatment of extremity injuries with severe soft tissue damage a plastic surgeon should be involved.

UI MeSH Term Description Entries
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D005260 Female Females
D006365 Heel The back (or posterior) of the foot in PRIMATES, found behind the ankle and distal to the toes. Sinus Tarsi,Heels,Sinus Tarsus
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001158 Arteries The vessels carrying blood away from the heart. Artery
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D014945 Wound Healing Restoration of integrity to traumatized tissue. Healing, Wound,Healings, Wound,Wound Healings
D017695 Soft Tissue Injuries Injuries of tissue other than bone. The concept is usually general and does not customarily refer to internal organs or viscera. It is meaningful with reference to regions or organs where soft tissue (muscle, fat, skin) should be differentiated from bones or bone tissue, as "soft tissue injuries of the hand". Injuries, Soft Tissue,Injury, Soft Tissue,Soft Tissue Injury

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